Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.50 / $2,267.73 / $5,414.14	Facility		$1,750.50	$2,267.73	$5,414.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,750.50 / $2,251.52 / $2,713.87	Professional		$1,750.50	$2,251.52	$2,713.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,617.62 / $2,037.31 / $3,368.28	Professional		$1,617.62	$2,037.31	$3,368.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,902.90 / $2,173.64 / $3,853.28	Professional		$1,902.90	$2,173.64	$3,853.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,013.24	Facility		$640.00	$640.00	$3,013.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.65 / $2,850.99 / $4,610.68	Professional		$1,892.65	$2,850.99	$4,610.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,058.04 / $2,634.29 / $3,053.00	Professional		$2,058.04	$2,634.29	$3,053.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,058.04 / $2,886.20 / $4,394.92	Facility		$2,058.04	$2,886.20	$4,394.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,905.29 / $3,519.00 / $4,146.00	Professional		$2,905.29	$3,519.00	$4,146.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,789.23 / $2,611.89 / $6,585.00	Facility		$1,789.23	$2,611.89	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,131.92 / $3,054.13 / $6,585.00	Professional		$2,131.92	$3,054.13	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,721.19 / $2,837.22 / $4,230.70	Professional		$1,721.19	$2,837.22	$4,230.70